Pediatric Intracranial Hypotension and Post-Dural Puncture Headache

Peterson, Elisha; Riley, Bobbie; Windsor, R. Blake

doi:10.1016/j.spen.2021.100927

Cited by 7 publications

(5 citation statements)

References 31 publications

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“… 27 In addition, the reduction in CSF volume caused by CSF outflow leads to a reduction in intracranial pressure. 38 , 39 , 40 , 41 This reduction affects CSF circulation and reduces CSF turnover, 42 thereby limiting Tau drainage from the central to peripheral circulatory system, resulting in the accumulation of Tau in the CSF. 25 The interplay of these two factors is necessary for Tau accumulation in the CSF.…”

Section: Discussionmentioning

confidence: 99%

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Lumbar puncture increases Alzheimer’s disease biomarker levels in cerebrospinal fluid of rhesus monkeys

Xu,

Li,

et al. 2024

iScience

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Section: Discussionmentioning

confidence: 99%

“…No. KHB3481) and Amyloid-beta 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 (Thermo Fisher, Cat. No.…”

Section: Methodsunclassified

Lumbar puncture increases Alzheimer’s disease biomarker levels in cerebrospinal fluid of rhesus monkeys

Xu,

Li,

et al. 2024

iScience

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“…Newer studies now show that the actual success of EBP in adults is between 33% and 91% [2]. In pediatric patients, the incidence of sustained success even with a large single-volume blood patch is around 30-70% [5].…”

Section: Discussionmentioning

confidence: 99%

“…In contrast to adults, an EBP in children usually necessitates sedation or general anesthesia because children generally have a fear of needles. However, an EBP does not guarantee the resolution of the PDPH, and the updated success rate of an EBP in pediatrics may be as low as 72% [ 5 ]. To improve our understanding of PDPH and its treatment in children, we present a case report of a refractory PDPH that was initially treated with conservative and medical management and multiple EBPs that finally resolved with a sphenopalatine ganglion (SPG) nerve block [ 6 , 7 ] using a J-tip style catheter instead of the traditional cotton swab.…”

Section: Introductionmentioning

confidence: 99%

Postdural Puncture Headaches in Pediatric Patients: A Review of Options When Repeated Epidural Blood Patches Do Not Work

Bansal,

D'Souza,

Aladade

et al. 2024

Cureus

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We present the case of an adolescent with refractory postdural puncture headache (PDPH), whose symptoms resolved with a sphenopalatine ganglion (SPG) nerve block using a J-tip style catheter. Our patient was treated with multiple modalities, including conservative and medical management, multiple epidural blood patches, and different nerve blocks. We discussed different treatments for the PDPH, why each modality did not work, and why our SPG block with a J-tip catheter possibly provided a better sympathetic block in a patient with intractable PDPH for two weeks.

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“…Despite its advantages, spinal anesthesia is not without potential complications. Some complications associated with spinal anesthesia include post-dural puncture headache (PDPH), hypotension, urinary retention, infection, bleeding, and nerve injury (Peterson et al, 2021). PDPH is one of the most common complications of spinal anesthesia.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Incidence of Post-Dural Puncture Headache in Patients Undergoing Spinal Anesthesia Following Median vs Paramedian Approach

Butt

JAVED

ASHFAQ

et al. 2023

Biol Clin Sci Res J

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Post-Dural Puncture Headache (PDPH) is a common complication after spinal anesthesia, particularly in obstetric populations. The choice of needle insertion technique, either midline or paramedian, may impact the incidence of PDPH. Previous studies have shown conflicting results, necessitating further investigation in specific patient populations. This prospective study aimed to compare the incidence of PDPH between the midline and paramedian approaches. One hundred twenty-two participants were included and divided equally into two groups (Group M and Group P). Patient demographics, including age, body mass index (BMI), gender distribution, type of surgery, and ASA physical status, were recorded. The occurrence of PDPH within the first three postoperative days was assessed and compared between the two groups. The mean age of the study population was 37 ± 9.55 years, with no significant difference between Group M and Group P (p = 0.09). BMI, gender distribution, type of surgery, and ASA physical status also showed no significant differences between the groups.Regarding PDPH incidence, 6.6% of participants in Group M and 4.9% in Group P experienced PDPH. The overall incidence of PDPH in the entire sample was 5.7%. However, the p-value for comparing the occurrence of PDPH between the two groups was 0.698, indicating no statistically significant difference. This study found no significant difference in the incidence of PDPH between the midline and paramedian approaches. These results align with previous studies that have explored the association between needle insertion techniques and PDPH incidence.

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Pediatric Intracranial Hypotension and Post-Dural Puncture Headache

Cited by 7 publications

References 31 publications

Lumbar puncture increases Alzheimer’s disease biomarker levels in cerebrospinal fluid of rhesus monkeys

Lumbar puncture increases Alzheimer’s disease biomarker levels in cerebrospinal fluid of rhesus monkeys

Postdural Puncture Headaches in Pediatric Patients: A Review of Options When Repeated Epidural Blood Patches Do Not Work

Comparison of Incidence of Post-Dural Puncture Headache in Patients Undergoing Spinal Anesthesia Following Median vs Paramedian Approach

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